Is Presacra Neurectomy the Same as LUNA?

From: Helen Dynda (olddad66@runestone.net)
Mon May 21 14:01:32 2001


http://www.centerforendo.com/news/fertility/lunaPSN.htm

Is Presacral Neurectomy the Same as LUNA?

Absolutely not!

Presacral neurectomy (PSN) is similar only in that it, like LUNA, is a technique for destroying the ability of certain nerves to function normally. PSN carries with it a bit more risk than LUNA. It involves transecting the multiple cobweb-like presacral nerves after they cross the pelvic brim just below the bifurcation of the large blood vessels (vena cava) and medial to the ureter.

When Is PSN Recommended?

Some gynecologists use this procedure to try to relieve central pelvic pain when they feel they must do something more than conventional surgery. This operation is not usually suggested except when pain is primarily central (as opposed to lateral such as ovarian pain).

Do You Perform PSN?

I have not had good success with PSN. I do have several physician friends who are much more convinced of its advantages than I am. I am of the opinion that we should always keep looking for causes for pain rather than just trying to mask the results of it.


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